We report the case of an adolescent girl who was 14 years old at initial presentation. A shy, immature and timid individual, she began to have recurring, progressive episodes characterised by insomnia, paranoia, distorted thinking and mood instability with a mix of depressive and manic-like symptoms. An extensive medical work up was unrevealing. Her family noted a pattern that coincided with her menstrual cycle. An endocrine consult was obtained, and the diagnosis of catamenial psychosis was performed. After treatment with leuprolide, resulting in a shutdown of the hypothalamic-pituitary-ovarian axis, the patient's symptoms were resolved completely.
CITATION STYLE
Fernando, M. D., Grizzaffi, J., Crapanzano, K. A., & Jones, G. N. (2014). Catamenial psychosis in an adolescent girl. BMJ Case Reports, 2014. https://doi.org/10.1136/bcr-2014-206589
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